Accounting Jobs in Burbank Ca by etr73359

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									                      BURBANK UNIFIED SCHOOL DISTRICT
                      1900 W OLIVE AVE BURBANK CA 91506-2460
                      (818) 729-4400 Fax (818) 729-4554
                      www.burbank.k12.ca.us


                                APPLICATION FOR CLASSIFIED EMPLOYMENT

Position Applying For:                                                   Location of Position:

Position Applying For:                                                   Location of Position:

Position Applying For:                                                   Location of Position:

The selection of applicants for interview is done on the basis of information supplied on this application form. Please make sure that
your application is completely filled out. Incomplete or missing information may hinder your chances for employment. A resume
cannot be considered in lieu of an application.

NAME

ADDRESS

CITY                                                             STATE                        ZIP CODE

DAY TIME PHONE (           )                                                 PHONE (                 )



How did you learn of the Burbank Unified School District?

         Employee of BUSD                     Newspaper Ad                         Internet                      Other

If you are not a U.S. Citizen, do you have the legal right to work in the United States?          Yes       No

Do you possess a valid California Driver’s License?            Yes      No    CDL #                      Exp. Date

Have you ever been employed by the Burbank Unified School District?               Yes      No If yes, when

Have you ever been a member of the Public Employees’ Retirement System?                   Yes      No
If yes, have you withdrawn your funds?  Yes    No

Check work you will accept                             Date available to begin work?

  Full Time      Part Time       Substitute      10 Month       12 Month

Availability: Hours                 to                          Days: M T W T F S S


SKILLS:
Typing (WPM)                    Word Processing Software        Accounting/Spreadsheet Software
List licenses and certificates that you possess and that are required in job announcement:


List proficiency in languages other than English: Language                                     Speak       Read      Write
                                                  Language                                     Speak       Read      Write

Do you possess a Registry of Interpreters for the Deaf Transliteration Certificate or Interpretation Certificate Passing of the
ASL Competency Examination?        Yes
High School Attended:                                  Did You Graduate:      If not, do you possess a G.E.D.?
                                                         Yes    No               Yes     No

     Name and Location of Colleges,         Major Coursework        # Units             Degree or Certificate
    Universities and/or Trade Schools                              Completed
                 Attended




EMPLOYMENT RECORD
Read the job announcement before completing this section. To be considered for employment, this section must show
that you meet the minimum qualifications for the position. Begin with your most recent job. List all jobs and any
periods of unemployment in the last ten years. If you need to attach additional information, please use the format
below. Include U.S. military, self-employment, and volunteer experience. Also, list any jobs you held more than ten
years ago which relate to the duties of the job for which you are applying.

DATES                             DUTIES                                          EMPLOYER

FROM      TO        Your Title:                                                   Name of Employer
Mo Yr     Mo Yr
                    Your Duties:
                                                                                  Address

                                                                                  City, State, Zip
Salary:
                                                                                  Supervisor’s Name
 hr wk       mo
                    Reason for Leaving:
                                                                                  Telephone Number
$
                                                                                  (   )
FROM      TO        Your Title:                                                   Name of Employer
Mo Yr     Mo Yr
                    Your Duties:
                                                                                  Address

Salary:                                                                           City, State, Zip
 hr wk       mo
                                                                                  Supervisor’s Name
$
                    Reason for Leaving:
                                                                                  Telephone Number
                                                                                  (   )
FROM      TO        Your Title:                                                   Name of Employer
Mo Yr     Mo Yr
                    Your Duties:
                                                                                  Address

                                                                                  City, State, Zip
Salary:
 hr wk       mo                                                                   Supervisor’s Name
                    Reason for Leaving:
$                                                                                 Telephone Number
                                                                                  (   )
Explain any intervals of unemployment:
REPORT OF CONVICTIONS
                                              All Applicants must complete this section!

Have you ever been convicted of a felony or misdemeanor that has resulted in incarceration, a fine in excess of $50,
and/or probation?
                              No      Yes
If yes, explain on an attached sheet.
 (A conviction may not necessarily disqualify an applicant from employment.)



ACCOMMODATION

You may be required to take and pass a job-related physical examination. If you will need accommodations for the position you are applying for, what
reasonable accommodations need to be made.




Certificate of Applicant

I hereby certify that all statements and information on this application are true to the best of my knowledge and belief. If
employed, I understand that any falsification of the information on this application may be considered cause for
termination. I further understand that, if offered a position, I must complete pre-employment processing to include
Loyalty Oath, Fingerprinting, current Verification of Tuberculosis Testing, and submission of documents, to include a
Social Security Card, which verify my eligibility to work and remain in this country.

As an applicant for a position with the Burbank Unified School District, (hereinafter “District”) I understand that the
District may verify all data given in my application for employment, related papers, and/or oral interviews. I further
understand that any and all references provided to the District may be contacted, either in writing or otherwise. By
signing below, I hereby authorize such investigation. In addition, I authorize any previous employers and/or other
reference to release and fully disclose to any agent of the District any information that such person may have concerning
me, including information of a confidential or privileged nature.

I hereby release the District, previous employers, and/or other references from liability or damage which may result from
furnishing the information requested.

A photocopy of this release form will be valid as an original therof, even though the said photocopy does not contain my
original written signature.


Print Name


Signature                                                                                                     Date




                      The Burbank Unified School District is an Equal Opportunity Employer.
The District is in compliance with Title IX of the Education Amendments of 1972 and does not discriminate on
 the basis of religion, ancestry, martial status, sexual orientation, medical condition (cancer-related), political
                   belief or affiliation, in any of its programs, activities or employment practices.
                                FOR HUMAN RESOURCES SERVICES USE ONLY


Position:

    Not Qualified:
        ___Education    ____ Experience ____ Other (specify)


    Test Date:                                   No Show
       Test date notification sent (date)
       Score: written:          % performance:                 %   in-basket:   %   oral:   %
       Candidate notified of test results (date)


    Interview Date:
            Selected         Not Selected Comments:
        Candidate notified of interview results (date)




Position:

    Not Qualified:
        ___Education    ____ Experience ____ Other (specify)


    Test Date:                                   No Show
       Test date notification sent (date)
       Score: written:          % performance:                 %   in-basket:   %   oral:   %
       Candidate notified of test results (date)


    Interview Date:
            Selected         Not Selected Comments:
        Candidate notified of interview results (date)

								
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